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Nye Retningslinjer for Resuscitering Professor Bjørn Lind Kemiska Och NAForum Tidsskrift for Norsk anestesiologisk forening, DNLF Nye retningslinjer for resuscitering Professor 19(1) Bjørn Lind Kemiska och biologiska terrorvapen Hva er amerikansk spesialistutdannelse i 2006 anestesiologi verdt i Norge? Legeforeningen, legemiddelindustrien og samarbeid om forskning av Anne Berit Guttormsen Lederen har ordet Godtfolk Godt år! Først og fremst vil jeg benytte anledningen til å ønske Torbjørn Nedrebø (Haukeland Univ. Sykehus) velkommen som ny NAForum redaktør. Jeg gleder meg til å se ditt første nummer! Den skandinaviske foreningen (SSAI) har fått ny president, han er norsk og kommer fra Stavanger, navnet er Eldar Søreide. Jeg er glad for at du har latt deg utfordre Eldar – vi behøver en moderne og levende nordisk anestesiforening. Anestesiologi har fått en ny Spesialitetskomite - 7 av 8 medlemmer er nye. Tore Kollevold leder en gjeng entuasiaster som setter målet om en god og målrettet utdannelse i anestesifaget høyt på agendaen. Vi er spente........ Årets første måned har vært preget av tre store nyhetssaker; Sudbøsaken, Kristinasaken og diskusjonen omkring budsjettsituasjonen i helsevesenet. Her på Vestlandet har vi fokusert på ”skeivdeling”, samtidig som vi har presisert at en omfordeling av helsekronene vil føre til krig mellom helseregionene - det må friske penger til. Tiden vil vise om det å brøle fra grasrota kan bevege de rød-grønne til handling eller om den energi vi har brukt bare er tidsspille. For noen uker siden stod lederen i Helse- og omsorgskomiteen Harald Tom Nesvik (FrP) fram og sa at regjeringen ikke gav komiteene arbeidsoppgaver – nå har han fått en fra grasrota, ”hvordan løse en underbudsjettering i helsevesenet på minst 2 milliarder kroner?”. I TV2 nyhetene forleden gikk han offensivt ut og sa at det må gjøres noe nå! Jeg er spent, og etter det jeg har grunn til å tro er komitelederen innstilt på gjøre dette arbeidet ordentlig og med stort trykk. Dessverre er det ikke prisgitt grasrota å gi komiteene arbeidsoppgaver til utredning, det er det bare regjeringa som kan............ Kristinasaken fi kk stor oppmerksomhet i alle medier i midten av måneden. Media kjørte etiske meningsmålinger i befolkningen. Ikke en eneste av de lekfolk som ble spurt støttet legene i deres beslutning om å slå av respiratoren. Pga at legene ikke var fritatt fra taushetsplikten kunne de heller ikke kommentere medisinske påstander i media. Det var spesielt skremmende å registrere at profi lerte legekolleger dømte kollegiet i Bergen, for åpen presse, uten førstehåndskunnskap til saken. Dette er uprofesjonelt og ukollegialt og må få et faglig – etisk etterspill. Sudbø saken sprakk også i midten av januar. Ufattelig og tragisk for norsk forskning. Det ble et munnhell- hvor mange pasienter har du diktet opp. Et fundamentalt viktig spørsmål ble reist i forhold til medforfatteres innsyn i rådata, hvilket ansvar har medforfattere for det som står på trykk, skal en stå til ansvar for alt eller bare deler av artikkelen. Her har også tidsskriftene en jobb å gjøre i forhold til de skjema en signerer på når en sender inn en artikkel for å få den vurdert for publikasjon. Nå er det diskusjonen omkring ytringsfrihet og retten til å få lov til å karikere Muhammed som er med på å prege nyhetsbildet…………………………… men nå jeg lage frokost,,,,, Kollegial hilsen, Anne Berit 2 NAForum, Tidsskrift for Norsk anestesiologisk forening NAForum Tidsskrift for Norsk anestesiologisk forening, NAForum er et uavhengig tidsskrift. Meninger og holdninger avspeiler ikke nødvendigvis den offi sielle holdning til styret i NAF, eller Dnlf. Signerte artikler står for forfatterenes egen regning. Kopiering av artikler kan tillates etter kontakt med ansvarlig redaktør og oppgivelse av kilde. Ansvarlig redaktør Torbjørn Nedrebø Haukeland Universitetssykehus N-5021 Bergen Vol 19; 2006, nr 1 E-post: [email protected] INNHOLD 2 Lederen har ordet Redaksjonell støtte : Anne Berit Guttormsen Styret NAF v/Anne Berit Guttormsen Haukeland Universitetssykehus 6 Redaktøren har ordet N-5021 Bergen : Torbjørn Nedrebø E-post: [email protected] 7 Nye retningslinjer for resuscitering : Torbjørn Nedrebø Design/layout Akuttjournalen Mat er medisin, la følgelig mat bli din medisin sa Hippocrates for snart 2500 år siden. 4102 Idse 9 Tlf: 51 74 14 80 / fax: 51 74 14 81 : Anne Berit Guttormsen E-post: [email protected] 10 Behandling av opioidavhengige i sykehus Forside: Fra Molde : Tarjei Rygnestad og Aud L. Krook 14 Ny President i Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) NAForum på internett : Torbjørn Nedrebø www.legeforeningen.no/naf 15 Professor Bjørn Lind : Hilde Norum Materiellfrister 2006 nr 2; 22. april 19 Kemiska och biologiska terrorvapen nr 3; 1. september : Kai Knudsen nr 4; 1. november 25 Akuttmedisinsk avdeling, Molde Sjukehus : Solrun Kleiven, Kjell Erik Strømskag og John Arne Larsen Styret i NAF 2004 - 2005 Leder Anne Berit Guttormsen 27 Hva er amerikansk spesialistutdannelse i anestesiologi verdt i Norge? Haukeland Universitetsykehus, : Geir Ivar Elgjo [email protected] 31 Legeforeningen, legemiddelindustrien og samarbeid om forskning Kasserer Andreas Espinoza : Nils Erik Gilhus Rikshospitalet-Radiumhospitalet [email protected] 33 Abstraktpris for beste basale foredrag høstmøtet 2005 Sekretœr Ulf E. Kongsgaard Rikshospitalet-Radiumhospitalet [email protected] 34 Norsk Intensivregister (NIR) Årsrapport 2004 (kortversjon) : Reidar Kvåle Høstmøte-sekr. Håkon Trønnes St Olavs Hospital HF 35 Referat frå årsmøtet i Norsk Intensivregister (NIR) 2005 Universitetssykehuset i Trondheim, : Reidar Kvåle [email protected] 36 Presentasjon av spesialitetskomiteen i anestesiologi 2006-2009 Medlems-sekr. Bjørg Irene Hegsethtrø : Tore Kollevold Ahus Universitetssykehus [email protected] 37 Kurs i Avansert respirator-behandling i Trondheim : Erik Solligård Medlem Lars Andersen Nordlandssykehuset [email protected] 40 Nytt styre i Norsk anestesiologisk forening : Anne Berit Guttormsen 42 Aktuelle kongresser, møter og kurs våren 2006 Bli medlem i NAF: Disputas Som medlem i NAF får du tilsendt 4 eksemplarer 46 av NAForum og Akuttjournalen hvert år, pluss at : Dadash Baran, Wenche Bakken Børke du automatisk blir medlem av SSAI (Scandinavian Society of Anaesthesia and Intensive care) og får ACTA Anaesthesiologica Scandinavica med 10 nummer i året. Her kan du følge med på hva som rører seg innen anestesilegemiljøet i Norge og Norden. NAF arrangerer hvert år høstmøtet, årets faglige og sosiale høydepunkt for anestesileger. NAF driver også fagutvikling innen anestesiologiens 4 fagområder. Det er ikke nødvendig å vœre spesialist i anestesiologi for å bli medlem! Du er velkommen også som helt fersk i faget. Medlemskap koster kr. 900.- pr år og tegnes ved å kontakte styret, helst på e-post. Medlemskap for leger under utdanning koster 600,- pr år. Ensuring Quality CPR Compress deeper 15 seconds without compression Ventilate less often Audiovisual feedback improves CPR The new 2005 ERC Guidelines have highlighted that patient outcome can be significantly improved by better quality CPR. Laerdal is proud to announce the introduction of Q-CPR technology in collaboration with our partner Philips Medical Systems. Q-CPR in the HeartStart MRx Monitor/Defibrillator is the first in a series of products that will be introduced using Q-CPR technology. Q-CPR is a new technology developed by Laerdal, the result of collaboration with many leading CPR research centres over recent years. It enables real time measurement and feedback of essential CPR parameters, as well as parameter logging for post-event debriefing or analysis. Q-CPR assists caregivers to provide optimal compressions and ventilations in therapy and training. Futhermore, Q-CPR facilitates quality assurance and continuous quality improvement in emergency services. For further information please visit www.laerdal.com Torbjørn Nedrebø Redaktøren har ordet Det er med stor grad av ydmykhet jeg nå har tatt på meg vervet som redaktør av NAForum. Når man ser på det enorme arbeidet Jannicke Mellin-Olsen og før det, Hans Flatten har lagt ned i NAForum, gjør det ikke jobben lettere å overta. Jeg har derimot forstått det slik at det er en positiv utvikling i bidragsmengden fra dere medlemmer til NAForum. På høstmøtet i Tromsø i fjor høst fi kk jeg følelsen av at NAForum var noe man ønsket å opprettholde, og skal så skje må det gode bidraget fra dere opprettholdes! I motsetning til mine forgjengere er jeg nybegynner ikke bare som redaktør, men også i anestesifaget, og dermed er mitt kontaktnett i det anestesiologiske miljøet i Norge lite. Jeg er derfor i mye større grad avhengig av at dere kontakter meg med tanke på hva som skjer rundt om i landet som kunne vært interessant å vite for dine kolleger. Jannicke hadde en slagplan da hun begynte i 2004, en plan hun i stor grad har lykkes med. Det skulle ikke være noen grunn til noen kraftig endring av NAForum slik det fremstår nå, så dermed vil styret fortsatt bidra i hvert nummer, i tillegg til at de har hovedansvaret for høstnummeret. Vi har et samarbeid med våre svenske og danske fagblader om utveksling av interessante artikler (selvsagt med forfatterne sin godkjenning!).Vi fortsetter også presentasjonen av de ulike sykehusene i landet, denne gangen Molde. Min erfaring fra høstmøtet er at det er kasustikker fra vår kliniske hverdag som skaper diskusjon og engasjement. Derfor ønsker jeg at dere i større grad bidrar med slike kasustikker. Disse kan dermed være utgangspunktet for en diskusjon i anestesiforum. Omvendt fi nnes det også diskusjoner på anestesiforum som man kan presentere i NAForum. Det å skrive en kasustikk til NAForum kan også være en myk start for mange assistentleger til å skrive til fagtidsskrifter. Jeg har også et ønske om at vi kan få presentert en større del av den forskningen som blir gjort av dere rundt om i landet, og vil forsøke å få til en presentasjon av noen av de gode forskningsmiljøene vi har. Doktorgradsarbeid vil bli presentert, og vinnere av priser ved høstmøtet likeså. Ellers så skal bladet være åpent for personlige ytringer, presentasjoner av kurs/møter, omtale og heder av de som måtte fortjene det.
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